Individual provider Active NPI

Judith M Millar, NP

  • Adult Health Nurse Practitioner
  • Gloucester, MA
National Provider Identifier
1992744130
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
176172 Issued in MA
Practice address
1 Blackburn Dr Ste 1
Gloucester, MA 01930-2293
Phone
(978) 281-1500
Fax
(978) 282-3699
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 176172 MA Primary

Addresses

Primary practice location

1 Blackburn Dr Ste 1
Gloucester, MA 01930-2293

Mailing address

2 Blackburn Dr
Gloucester, MA 01930-2227
Phone (978) 281-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000129 MA Practitioner - Nurse Practitioner 9436194891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Ann Medical Center LLCGroup PAC ID 7214258623, 6 clinicians

Practice addresses (Care Compare)

1 Blackburn Dr
Gloucester, MA 01930-2292
Phone (978) 281-1500

Merit-based Incentive Payment System (MIPS)

Final score
91.98 of 100Reported as apm
Quality
76.59
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
176172MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Ann Medical Center Inc Current Accepting new patients
Cape Ann Medical Center LLC CurrentSince Apr 10, 2016 Accepting new patients
Lahey Clinic, Inc. Past Accepting new patients

Locations

2 Blackburn Park
Gloucester, MA 01930
Phone (508) 281-1500

1 Blackburn Dr
Ste 1
Gloucester, MA 01930

1 Blackburn Dr
Gloucester, MA 01930
Phone (978) 282-3698

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1992744130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BLACKBURN DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302227",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BLACKBURN DR STE 1",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302293",
            "telephone_number": "978-281-1500",
            "fax_number": "978-282-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAR",
        "first_name": "JUDITH",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "176172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.